中医护理对提升老年高血压病患者自我管理能力的效果

Effect of Traditional Chinese Medicine Nursing on Improving Self-management Ability of Elderly Patients with Hypertension

目的在老年高血压病患者的治疗过程中实施中医护理,分析该护理方式对提升患者自我管理能力的效果。方法研究对象从在我院就诊治疗的高血压病老年患者中选取,入选的患者均于2019年7月—2020年6月入医院,共选取80例患者进行研究。将入选的所有患者,通过随机抽取双色球方式分组,分为了常规组(向患者实施常规护理,共40例患者)和中医组(向患者实施中医护理,共40例患者)。比较两组患者在护理前后的自我管理能力、负面心理状态(包括焦虑和抑郁评分)、血压指标情况,以及在护理后2个月的生活质量情况。结果两组在护理前的自我管理能力评分、负面心理状态评分以及血压指标比较差异均无统计学意义(P>0.05),并且两组的自我管理能力评分均在护理后升高,负面心理状态评分以及血压指标均在护理后降低,而在护理后,中医组的自我管理能力评分高于常规组(P<0.05),负面心理状态评分以及血压指标均低于常规组(P<0.05)。中医组在护理后2个月的整体生活质量高于常规组(P<0.05)。结论对老年高血压病患者实施中医护理,对患者的负面心理状态改善效果明显,有助于增强患者对医护人员的配合程度,进而能够促进患者的自我管理能力提升,对患者的血压控制以及生活质量改善具有积极作用。

Objective To implement traditional Chinese medicine nursing for elderly hypertensive patients and analyze the effect of this nursing method on improving patients’self-management ability.Methods The research subjects were selected from the elderly patients with hypertension who were treated in our hospital.They were admitted to our hospital from July 2019 to June 2020.A total of 80 patients were selected for research.All the selected patients were divided into groups by random sampling of two-color balls and divided into the conventional group(the patients were given routine care,a total of 40 patients)and the traditional Chinese medicine group(the patients were given TCM care,a total of 40 patients).The self-management ability,negative mental state(including anxiety and depression scores),blood pressure indicators and the quality of life of patients in the two groups before and after nursing were compared.Results There was no significant difference in the self-management ability score,negative mental state score,or blood pressure index between the two groups before nursing(P>0.05),and the self-management ability scores of the two groups were increased after nursing,and the negative mental state score and blood pressure indicators decreased after nursing.After nursing,the self-management ability score of the traditional Chinese medicine group was higher than that of the conventional group(P<0.05),and the negative mental state score and blood pressure indicators of the traditional Chinese medicine group were lower than those of the conventional group(P<0.05).The overall quality of life of the traditional Chinese medicine group was higher than that of the conventional group at two months after nursing(P<0.05).Conclusion The implementation of traditional Chinese medicine care for elderly hypertensive patients has a significant effect on improving the negative mental state of patients,which helps to enhance the degree of cooperation between patients and medical staff,thereby having a positive effect on promoting the improvement of patients’self-management ability,blood pressure control and quality of life of patients.